Physician Compare National (NPI:1891916607)

HEALTHCARE PROVIDER: JOSE E NAZARIO LUGO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1891916607
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476747593
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101103000358
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NAZARIO
	Individual professional last name
Provider First Name	JOSE
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PONCE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	818 AVE HOSTOS C
	Group Practice or individual's line 1 address
City	PONCE
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	007161110
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y